Laserfiche WebLink
Special <br />CIiA N OF CUSTODY <br />www.fglinc.com <br />Field Copy (3 of 3) <br />Corporate Offices &Laboratory Office & Laboratory Office & Laboratory Office & Laboratory Office & Laboratory <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. <br />Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, <br />CA 95926 <br />San Luis Obispo, CA 93401 <br />35730:02/06/2017 <br />TEST DESCRIPTION - See Reverse side for Container, Preservative and Sampling information <br />Phone: (209) 942-0182 <br />Phone: <br />(530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />Client: San Joaquin County EHD <br />Address: San Joaquin Co. Environmental Health Dep <br />Water Quality Division <br />Attn: Rodney Estrada <br />3 <br />a <br />1868 East Hazelton Ave. <br />Stockton, CA 95205 <br />m <br />Phone: (209)468-0331 Fax: <br />w <br />3 <br />En <br />c? <br />Contact Person: Rodney Estrada <br />Q <br />pF" <br />Project Name: <br />Purchase Order Number: <br />Y <br />d <br />a <br />Quote Number: ST 20160309-0100 <br />Sampler(s) <br />o <br />Z <br />00 <br />Q <br />a <br />U <br />* <br />�O <br />x <br />W <br />Sampling Fee: Pickup Fee:Cat <br />Compositor Setup Date: / / Time: / <br />E <br />z <br />p <br />0 <br />�' <br />z <br />" O <br />z <br />co <br />e <br />Ln <br />a <br />„z <br />w <br />Q <br />H <br />Lab Number: STK 347919 <br />0 <br />� <br />a <br />a <br />U w� <br />x <br />x <br />x <br />. o <br />a <br />a <br />Samp <br />Dat <br />Time <br />° <br />oN <br />Location Description <br />Sampled <br />SampledNum <br />0 <br />U~° <br />0 <br />1 <br />G <br />DW <br />Remarks: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Relinquished Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />Received By: Date: Time: <br />853 Corporation Street <br />2500 Stagecoach Road <br />563 E. <br />Lindo <br />3442 Empresa Drive, Suite D <br />9415 W. Goshen Avenue <br />Santa Paula, CA 93060 <br />Stockton, CA 95215 <br />Chico, <br />CA 95926 <br />San Luis Obispo, CA 93401 <br />Visalia, CA 93291 <br />Phone: (805) 392-2000 <br />Phone: (209) 942-0182 <br />Phone: <br />(530) 343-5818 <br />Phone: (805) 783-2940 <br />Phone: (559) 734-9473 <br />Env Fax: (805) 525-4172 / Ag Fax: (805) 392-2063 <br />Fax: (209) 942-0423 <br />Fax: (530) 343-3807 <br />Fax: (805) 783-2912 <br />Fax: (559) 734-8435 <br />